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Retrospective evaluation of the crucial factor in total laparoscopic hysterectomy by using video review

  
@article{LS5147,
	author = {Hiroaki Komatsu and Fuminori Taniguchi and Hiroki Nagata and Takaya Nakaso and Yohei Nagaya and Satoru Tsukihara and Masako Sarugami and Tasuku Harada and Yasunobu Kanamori},
	title = {Retrospective evaluation of the crucial factor in total laparoscopic hysterectomy by using video review},
	journal = {Laparoscopic Surgery},
	volume = {3},
	number = {0},
	year = {2019},
	keywords = {},
	abstract = {Background: Hysterectomy is commonly performed for uterine myomas, uterine cancers, and uterine prolapses. In this study, we aimed to evaluate the procedures for improving our surgical skill in total laparoscopic hysterectomy (TLH).
Methods: Retrospective video reviews of TLH surgeries for 30 patients at our hospital were performed. The operation period was divided into the four phases (phases 1, 2, 3, and 4). We divided the TLH procedures into nine consecutive steps and evaluated the critical factors to complete this surgery.
Results: Median surgical time, blood loss amount, and uterine weight were 107 min, 5 mL, and 241 g, respectively. Total surgical time in phrases 3 and 4 was significantly shorter compared with that in phase 1. Duration of surgical time positively correlated with uterine weight (P=0.0346) and blood loss amount (P=0.0001), whereas there was no significant correlation between the uterine weight and blood loss amount. In phases 3 and 4, there were no correlation between the uterine weight and the surgical time.
Conclusions: The most crucial factor for determining surgical time in our TLH procedures would be the identification of ureter and the transection of uterine artery (P},
	url = {http://ls.amegroups.com/article/view/5147}
}